How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $851.14 Median $1,096.48 Typical High $1,513.56 | Facility | None | $851.14 | $1,096.48 | $1,513.56 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $933.25 Typical High $1,148.15 | Professional | None | $724.44 | $933.25 | $1,148.15 |
Ambetter Setting Professional Modifier None Typical Low $758.58 Median $933.25 Typical High $1,513.56 | Professional | None | $758.58 | $933.25 | $1,513.56 |
BCBS Kansas Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,288.25 | Professional | None | $1,000.00 | $1,000.00 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $446.68 Typical High $2,691.53 | Facility | None | $380.19 | $446.68 | $2,691.53 |
Cigna Setting Professional Modifier None Typical Low $645.65 Median $1,071.52 Typical High $1,737.80 | Professional | None | $645.65 | $1,071.52 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $933.25 Typical High $3,630.78 | Facility | None | $54.95 | $933.25 | $3,630.78 |
Medica Setting Professional Modifier None Typical Low $794.33 Median $1,737.80 Typical High $7,413.10 | Professional | None | $794.33 | $1,737.80 | $7,413.10 |
United Setting Facility Modifier None Typical Low $407.38 Median $1,000.00 Typical High $5,128.61 | Facility | None | $407.38 | $1,000.00 | $5,128.61 |
United Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $1,380.38 | Professional | None | $602.56 | $794.33 | $1,380.38 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $363.08 Median $436.52 Typical High $562.34 | Professional | 52 · Reduced service | $363.08 | $436.52 | $562.34 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $131.83 Typical High $169.82 | Professional | 55 · Aftercare only | $109.65 | $131.83 | $169.82 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $72.44 Median $87.10 Typical High $112.20 | Professional | 56 · Pre-op care only | $72.44 | $87.10 | $112.20 |
Where Kansas sits
The same service costs 3.2 times more in Alaska than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Kansas· 25th of 51
$1,000
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.